Western Carolina University Campus Recreation Center Participation Waiver Club Sport Home Match

advertisement
Western Carolina University
Campus Recreation Center Participation Waiver
Club Sport Home Match
Club Sport: ________________________
Visiting Team: ________________________
I am voluntarily using the Campus Recreation Center (CRC) at Western Carolina University
with full knowledge, understanding, and appreciation of the risks of injury inherent in any
physical exercise, physical activity, or program and expressly assume all risks of injury and
even death, which could occur by reason of my facility/equipment usage. I hereby agree to
abide by all rules, regulations, and guidelines for the use of the CRC. I release Western
Carolina University, the WCU Department of Campus Recreation & Wellness, and its
constituents from any liability, property damage, or death occurring to me, my heirs, and
personal representatives as a result of using the facility/equipment. I understand that all
personal property brought to the CRC is brought at my sole risk as to its theft, damage, or loss.
PRINTED NAME
SIGNATURE
DATE
1 _________________________
___________________________
_________________
2 _________________________
___________________________
_________________
3 _________________________
___________________________
_________________
4 _________________________
___________________________
_________________
5 _________________________
___________________________
_________________
6 _________________________
___________________________
_________________
7 _________________________
___________________________
_________________
8 _________________________
___________________________
_________________
9 _________________________
___________________________
_________________
10 _________________________
___________________________
_________________
11 _________________________
___________________________
_________________
12 _________________________
___________________________
_________________
13 _________________________
___________________________
_________________
14 _________________________
___________________________
_________________
15 _________________________
___________________________
_________________
16 _________________________
___________________________
_________________
17 _________________________
___________________________
_________________
18 _________________________
___________________________
_________________
Download